Individual
REBECCA A HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1530 S 18TH ST, LAFAYETTE, IN 47905-2010
(765) 474-4616
Mailing address
1530 S 18TH ST, LAFAYETTE, IN 47905-2010
(765) 474-4616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001282A
IN
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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